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[介入放射科医生造血功能及细胞遗传学变化的评估]

[Assessment of hematopoiesis and cytogenetics changes in interventional radiologists].

作者信息

Zhou Qihong, Yu Huijuan, Fu Fengyun, Ye Haipeng

机构信息

Hangzhou Prevention and Treatment Center for Occupational Diseases, Hangzhou 310014, China.

出版信息

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2016 May 25;45(6):626-630. doi: 10.3785/j.issn.1008-9292.2016.11.11.

Abstract

To investigate hematopoiesis and cytogenetics changes in staff of interventional radiology. A total of 121 intervention radiation workers, 245 common radiation workers and 100 medical personnel (healthy control) without exposure to radiation were enrolled in the study. The peripheral lymphocyte chromosomal aberrations and micronucleus were detected, and the result of white blood cells examination was analyzed. Compared with common radiation group and healthy control group, decreases in white blood cells count, neutrophil ratio, and increase in lymphocyte ratio were observed in intervention radiation group (all <0.05). Intervention radiation group had higher chromosome aberration rate and micronuclear rate than common radiation group and healthy control group (all <0.05). Most common chromosome aberrations were dicentric chromosome, acentric ring, fragments and minute chromosome. Abnormal rates in chromosome aberration and micronucleus rates were increased with the rise of length of service, but no statistically significant difference was observed (>0.05). Long term exposure to ionizing radiation may lead to changes in the human hematopoietic system and cause human chromosome aberration, and the severity of such injuries may be associated with the dose of ionizing radiation.

摘要

探讨介入放射学工作人员造血及细胞遗传学变化。本研究共纳入121名介入放射工作人员、245名普通放射工作人员和100名未接触辐射的医务人员(健康对照组)。检测外周血淋巴细胞染色体畸变和微核,并分析白细胞检查结果。与普通放射组和健康对照组相比,介入放射组白细胞计数、中性粒细胞比例降低,淋巴细胞比例升高(均P<0.05)。介入放射组染色体畸变率和微核率高于普通放射组和健康对照组(均P<0.05)。最常见的染色体畸变类型为双着丝粒染色体、无着丝粒环、片段和微小染色体。染色体畸变率和微核率异常率随工龄增加而升高,但差异无统计学意义(P>0.05)。长期接触电离辐射可能导致人体造血系统改变并引起人类染色体畸变,且此类损伤的严重程度可能与电离辐射剂量有关。

相似文献

1
[Assessment of hematopoiesis and cytogenetics changes in interventional radiologists].[介入放射科医生造血功能及细胞遗传学变化的评估]
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2016 May 25;45(6):626-630. doi: 10.3785/j.issn.1008-9292.2016.11.11.
5

本文引用的文献

1
A guide to the Interventional Radiology residency program requirements.介入放射学住院医师培训项目要求指南。
J Am Coll Radiol. 2015 Aug;12(8):848-53. doi: 10.1016/j.jacr.2015.02.014. Epub 2015 May 13.
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[Radiation exposure and health status in gastroenterologists].
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2014 Feb;32(2):133-5.
3
Staff doses in interventional radiology: a national survey.介入放射学中的工作人员剂量:一项全国性调查。
J Vasc Interv Radiol. 2012 Nov;23(11):1496-501. doi: 10.1016/j.jvir.2012.05.056. Epub 2012 Jul 24.

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